Kenchiro Kue, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lakeville, Minnesota. His current practice location is
17489 Dodd Blvd, Lakeville, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 428-1020.
Kenchiro Kue is licensed to practice in Minnesota (license number 76356) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841810223.
Physician's Profile
Full Name | Kenchiro Kue |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 17489 Dodd Blvd, Lakeville, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841810223
- Provider Enumeration Date: 04/25/2020
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395183560
- Enrollment ID: I20240406000075
Medical Identifiers
Medical identifiers for Kenchiro Kue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841810223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 76356 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenchiro Kue allows following entities to bill medicare on his behalf.
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenchiro Kue is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kenchiro Kue, DO Po Box 43 Mr 10860, Minneapolis, MN 55440-0043 Ph: (612) 262-1166 | Kenchiro Kue, DO 17489 Dodd Blvd, Lakeville, MN 55044-6410 Ph: (952) 428-1020 |
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